Mr Al Groholski, MOT in Debary, FL - Medicare Occupational Therapist Provider

Mr Al Groholski, MOT is a medicare enrolled "Occupational Therapist" provider in Debary, Florida. His current practice location is 50 Fairway Dr, Debary, Florida. You can reach out to his office (for appointments etc.) via phone at (561) 818-0691.

Mr Al Groholski is licensed to practice in Florida (license number OT8550) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1386676708.

Contact Information

	Mr Al Groholski, MOT
	50 Fairway Dr, Debary, FL 32713-2323
	(561) 818-0691
	(561) 790-1918

Map and Direction

Healthcare Provider's Profile

Full Name	Mr Al Groholski
Gender	Male
Speciality	Occupational Therapist
Location	50 Fairway Dr, Debary, Florida
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1386676708
Provider Enumeration Date: 07/07/2006
Last Update Date: 11/18/2013

Medicare PECOS Information:

PECOS PAC ID: 5890767669
Enrollment ID: I20040816000313

Medical Identifiers

Medical identifiers for Mr Al Groholski such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1386676708	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
225X00000X	Occupational Therapist	OT 8550 (Florida)	Secondary
225X00000X	Occupational Therapist	OT8550 (Florida)	Primary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Mr Al Groholski allows following entities to bill medicare on his behalf.

Provider Name	Sobe Innovative Rehabilitation Pllc
Provider Type	Part B Supplier - Physical/occupational Therapy Group In Private Practice
Provider Identifiers	NPI Number: 1164800595 PECOS PAC ID: 4789994336 Enrollment ID: O20151110002827

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Mr Al Groholski is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing Address	Practice Location Address
Mr Al Groholski, MOT 50 Fairway Dr, Debary, FL 32713-2323 Ph: (561) 818-0691	Mr Al Groholski, MOT 50 Fairway Dr, Debary, FL 32713-2323 Ph: (561) 818-0691

Reviews and Comments

Occupational Therapist in Debary, FL

Wanda Kay Vasquez, OT Occupational Therapist Medicare: Medicare Enrolled Practice Location: 60 N Charles Richard Beall Blvd, Debary, FL 32713 Phone: 386-668-4426
Symone Melissa Swaby, Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 620 Quail Lake Dr, Debary, FL 32713 Phone: 516-368-2604
Home Modification Design, Llc Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 17 Pleasant Hill Drive, Debary, FL 32713 Phone: 407-417-6031
Elissa Leigh Howe, OTR/L Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 60 N Highway 17 92, Debary, FL 32713 Phone: 386-668-4426
Jaclyn Batts, OTR/L Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 60 N Charles Richard Beall Blvd, Debary, FL 32713 Phone: 386-668-4426
Mrs. Jennifer Brow, OTR Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 75 Fox Ridge Ct Ste G, Debary, FL 32713 Phone: 386-785-6778 Fax: 386-220-8710

Mr Al Groholski, MOT - Medicare Occupational Therapist in Debary, FL